Academy BJE - NSW Board of Jewish Education

Booking Form - Primary School Outreach Programs

Please Note: all bookings are strictly subject to confirmation. Please also note that you will be asked to provide alternate dates in case your first preferred date is not available.

STUDENT STUDY VISIT and LECTURE

Please note: you must complete all MANDATORY fields. (Marked with a red *)

Kindly give a choice of 2-3 dates and times that would be suitable:

1st Preferred Option

2nd Preferred Option

3rd Preferred Option

Date *:

Time *:

Date *:

Time *:

Date :

Time :

At BJE At School

Number of Presentations *:

Name of School *:

School Address 1:

School Address 2:

State:

Post Code:

Contact Person *:

Phone No.:

Mobile No.:

Fax No.:

Email Address *:

Number of Students *:

Number of Teachers:

School Year *:

Topic for Lecture/Celebration *:

Do you require a Synagogue Visit:
Yes No

Fee per pupil $4.50 (for less than 30 students a base fee of $150 is applicable).
Payable to Academy BJE.

Name of Authorised Booking Teacher *:

Position at School *:

Any other Comments:

ACADEMY BJE » FORMS

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